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Network Pricing Consultant - Telecommute job at UnitedHealth Group, Orlando

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Optum is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)  

OptumRx is looking for a curious, adaptable, and self-motivated analyst to be part of our Network Pricing team. This is an intermediate analytics role where you will learn the business fundamentals of drug pricing and client performance management, the underlying data flows, and the tools and systems used in this type of financial analysis. The person in this role will work with and have regular exposure to analysts and projects in our global data science and network pricing teams. In addition, strong communication skills are important as this role partners with other departments including Underwriting, Legal, Account Management, Operations, and Clinical to effectively oversee client performance management. 

Supports and validates Provider Network (physicians, hospitals, pharmacies, ancillary facilities, etc.) contracting and unit cost management activities through financial and network pricing modeling, analysis, and reporting. Conducts unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies. Manage unit cost budgets, target setting, performance reporting, and associated financial models.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Anticipates customer needs and proactively develops solutions to meet them
  • Serves as a key resource on complex and/or critical issues
  • Solves complex problems and develops innovative solutions
  • Performs complex conceptual analyses
  • Review’s work performed by others and provides recommendations for improvement
  • Forecasts and plans resource requirements
  • Authorizes deviations from standards
  • May lead functional or segment teams or projects
  • Provides explanations and information to others on the most complex issues
  • Motivates and inspires other team members
  • Lead and perform financial analysis and modeling as it relates to setting prescription drug prices
  • Conduct financial and network pricing modeling, analysis, and reporting
  • Concisely summarize and communicate the results of complex analytics
  • Lead projects to completion by contributing to database creation, statistical modeling, and financial reports
  • Predict emerging customer needs and develop innovative solutions to meet them
  • Participate in the development new ideas, products and/or approaches
  • Proactively identify anomalies in drug pricing, client performance, utilization patterns, or prescription claims data
  • Collaborate independently with other department SMEs

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • 5+ years of analytical experience in financial analysis, health care pricing, network management, health care economics or related discipline
  • 2+ years of experience in creating and using financial modeling tools, spreadsheets, and information acquisition tools including experience in interpreting and/or displaying financial modeling results to inform actionable decisions
  • Intermediate level of proficiency in performing financial impact analysis, risk management and data manipulation
  • Advanced level proficiency in MS Excel
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifications:

  • Analytical experience in data analysis, health care pricing, healthcare economics or related discipline
  • Python, R, or SAS for analytical model development experience
  • Intermediate SQL or other relational database solution experience
  • PBM experience
  • Efficient written and verbal communication skills


To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers with OptumRx. We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you’ll fill far more than prescriptions. As a member of one of our pharmacy teams, you’re empowered to be your best and do whatever it takes to help each customer. You'll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There's no better place to help people live healthier lives while doing your life's best work.(sm)

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $66,100 to $118,300. The salary range for Connecticut / Nevada residents is $72,800 to $129,900. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.


Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.


Job country: United States

City: Orlando

Category: Business Operations Specialists, All Other

Location: Orlando, FL, United States

Job posted 2022-06-04

This job is expired

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